Individual provider Active NPI

Hannah Frye, CFY-SLP

  • Speech-Language Pathologist
  • Decorah, IA
National Provider Identifier
1639751670
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108802 Issued in IA
Practice address
901 Montgomery St
Decorah, IA 52101-2325
Phone
(563) 382-2911
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 108802 IA Primary

Addresses

Primary practice location

901 Montgomery St
Decorah, IA 52101-2325

Mailing address

2144 Pole Line Rd
Decorah, IA 52101-7806
Phone (563) 568-7171

Other practice location 1

1010 N Elm St
Cresco, IA 52136-1096
Phone (563) 547-2364

Other practice location 2

235 8th Ave W
Cresco, IA 52136-1062
Phone (563) 547-2101

Other names 1

  • Hannah Fahey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108802IAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1639751670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 POLE LINE RD",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521017806",
            "telephone_number": "563-568-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Cresco",
            "state": "IA",
            "postal_code": "521361096",
            "country_code": "US",
            "telephone_number": "563-547-2364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 8th Ave W",
            "address_purpose": "LOCATION",
            "city": "Cresco",
            "state": "IA",
            "postal_code": "521361062",
            "country_code": "US",
            "telephone_number": "563-547-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "HANNAH",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "108802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "FAHEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.